Tasman Power Take 5

• Site conducted

  Select

• Date & Time

  Date

• Task

• Work Area

• Prepared by

Planning

• Have you received adequate instructions to perform the task safety

  Yes

  No

• Does the task require a high risk licence/permit?

  Yes

  No

• Do you understand the critical risks & controls associated with the task, and are all controls in place?

  Yes

  No

• Is there an Isolation required?

  Yes

  No

• What is the radio channel you should be on?

• Is a dedicated drop zone required in your work area?

  Yes

  No

• What was the safety topic or safety focus from pre shift meeting (Pre-Start)

Equipment

• Do you have the correct PPE for the task?

  Yes

  No

  N/A

• Is all the required barricading/signage in Place?

  Yes

  No

  N/A

• What is the equipment or assist number of the item you are working on?

• Is a safety step or ladder required?

  Yes

  No

• What colour tags are current at the moment

• What date is your mulitimeter calibrated to?

People

• Have you received correct training & do you have the correct competences to complete the task/

  Yes

  No

  N/A

• How much water have you consumed in the last hour?

Change

• If a change occurs, ensure you re-visit this Take 5 assessment and or contact your supervisor. If you clicked "NO" to any of the above questions please implement corrective actions and/or call your supervisor before proceeding any work.

  Yes

  No

• How can I get hurt?

• What can I do about it? Controls